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Individual

ALEXIS AREVALO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2201 SE LOOP 820, FORT WORTH, TX 76119-5863
(817) 730-0139
Mailing address
3408 FALKEN CT, HIGHLAND VILLAGE, TX 75077-1886

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
38956
TX
103TC1900X
Counseling Psychologist
Primary
38956
TX

Other

Enumeration date
08/10/2021
Last updated
08/10/2021
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